Group items tagged

those at highest risk for getting sick from Covid-19, either because of their job or their underlying health status, should get first dibs.

These guidelines are supported by bioethical principles about the need to balance "priorities of minimizing societal disruption and preventing morbidity and mortality."

As a result, the system is open to manipulation

well-connected friends and community members who have managed to get vaccinated against Covid-19, even though they meet no current criteria to join the front of the line.

seniors lined up overnight to get the shot, putting their own health at risk for the chance to avert future infections.

This strategy clearly prioritizes those who are in-the-know, who have time to sit on hold, or who are willing (in the case of camping out overnight) to put their health at risk.

it's the conditions of scarcity that make fairness difficult to achieve.

Whether it's using the National Guard to assist in setting up vaccination centers, deploying mobile vans to access rural and urban populations, or working with community groups to increase uptake among at-risk populations, better is needed.

we must release all the available doses of the Covid-19 vaccines

To protect our communities, we must not be paralyzed by fairness -- or stop pursuing it.

The final price of any vaccine should be one that governments of poor and rich countries alike can afford so all citizens can get it free at the point of care.

Without price controls, poor countries are unlikely to be able to afford or access enough vaccines to protect their populations.

A sad truth we have learned from past global pandemics is that poor people are hit first and worst. Vaccines are most urgently needed where health systems are fragile, and where the effects of this new coronavirus could be catastrophic.

Many countries lack the resources, infrastructure, and health care personnel to mount full-scale efforts to detect the virus and prevent it from spreading, meaning it will move quickly and easily among populations. In these settings, the number of cases is likely to grow exponentially, putting stress on already burdened health care workers and facilities and making it harder to provide timely care for those who are ill. Vaccines will be an important tool for preventing such a catastrophe.

For those with resources — rich countries and rich people — a vaccine would be valuable, one of several tools we will need to prevent the most serious effects of the new coronavirus. But for those who are poor or who live in poor countries, it may be essential. Without it, they will suffer disproportionately and unnecessarily.

To let a coronavirus vaccine be monopolized by the rich will perpetuate the unjust economics of outbreaks, where the poor always pay the heaviest price. Allowing this to happen would be a moral disgrace.

They can help with decisions about who gets the vaccine first when supplies are limited.

"One of those is how much is the virus spreading as the vaccine is being rolled out? And another factor is. How fast is the vaccine being rolled out?"

It's also important to know how effective a vaccine is at preventing disease, how long protection lasts, and whether it not only prevents someone from getting sick but also from transmitting COVID-19.

Larremore says to end a pandemic, it generally makes sense to vaccinate those most capable of spreading disease.

But even if a mathematical model suggests the most effective path, it doesn't provide all the answers public health officials need.

Right now, modelers are trying to help public health officials decide if it makes sense to use a single dose of the Moderna and Pfizer vaccine to extend the limited supply, even though the vaccine has only really been tested using a two-dose regimen

The idea is textbook economics. People respond to incentives.

incentives can be used not just for the sake of individuals, but for the benefit of society as a whole.

it would be a drop in the bucket compared to the economic harm if the pandemic persists.

His plan would cost the country between $250 billion and $300 billion.

"Payments may indeed encourage some people to get the vaccine," says Cynthia Cryder, an associate professor of marketing at Washington University's Olin Business School. "But it may also deter people from getting the vaccine. Because payments signal that the vaccine is risky."

Another method of getting to herd immunity may exist, though it has not been discussed widely. Mandates — requiring people to get vaccinated either by orders of state governments or employers.

To economist Robert Litan, if we ultimately must choose between the carrot of cash payouts and the stick of mandated vaccines, the answer is clear: the carrot.

"I think the level of anger in the country will go up extraordinarily high if we had mandates," he says.

“There are certain things that increase perception of risks,” Dr. Sell said. “One of these is risks to future generations. So rumors related to pregnancy are particularly gripping.

“We know pregnant individuals are at an increased risk when it comes to Covid-19, but they absolutely should not and do not have to die from it,” said Dr. Christopher Zahn

60 percent believed that pregnant women should not get the vaccine, or were unsure if this was true;

One reason misinformation about the vaccines and pregnancy may have gained so much traction, experts say, is that the earliest clinical trials of the coronavirus vaccines excluded pregnant women. The lack of trial data led the C.D.C. and World Health Organization to initially give different recommendations to pregnant women, though neither explicitly forbade, nor encouraged, immunizing pregnant women. Other health organizations chose to wait for more safety data from later trials before making an official recommendation for pregnant women to get vaccinated.

“At the root of this problem is trust, or really, it’s a lack of trust,” Dr. Sell said.

“The problem is that there are these pockets with low vaccination rates,” said Dr. Jane Seward, the deputy director of the viral diseases division at the C.D.C. “If a case comes into a population where a lot of people are unvaccinated, that’s where you get the outbreak and where you get the spread.”

“It’s premature to blame the increase in reports of measles on the unvaccinated when we don’t have all the facts yet,” said Barbara Loe Fisher, the president of the National Vaccine Information Center, a group raising concerns about inoculations. “I do know this: Fifty-seven cases of measles coming out of Disneyland in a country with a population of 317 million people is not a lot of cases. We should all take a deep breath and wait to see and get more information.”

‘Listen, I have all this vaccine. And people are afraid to get it here,’” Ms. Platten recalled. “‘If you have any friends, or there’s anyone you know who wants a vaccine, please have them call me.’”

“The result has been a mini boom of visitors on an island whose tourism economy, like most others, has been brutalized by the pandemic.”

“Nowhere else in the U.S. can you actually just walk in and get the vaccine, anybody over 16,” Mr. Bryan said on Monday. On March 1, the islands also opened two federally supported community vaccination centers on St. Thomas and St. Croix.

“On the public health side, it’s a plus,” she said. “On the equity side, I don’t see it as significant issue.”

“herd immunity might be hard to achieve without children being vaccinated,” Dr. Erbelding said.

Each dose will be assessed first in children 5 through 11 years of age, then in children ages 2 through 4 years, and finally in the youngest group, six months to 2 years.

“It sounds like a good plan, and it’s exciting that another Covid-19 vaccine is moving forward with trials in children,”

More than 3.3 million children have tested positive for the virus, at least 13,000 have been hospitalized and at least 260 have died,

Other vaccines have helped to control many horrific childhood diseases that can cause long-term complications,

Any side effects are likely to appear soon after the shot, within the first week and certainly within the first few weeks, experts have said.

there’s a higher degree of confidence now in giving this vaccine to kids.”

The more transparent you can be, the better.”

“We have not seen any variants evade the vaccination completely,” Javaid said.

Right now we use antibody testing as a marker of an immune response. But we need more time to pass to study the population’s response to the vaccines before being able to sufficiently assess the duration of immunity.

Oxford-AstraZeneca

Pfizer-BioNTech

Chinese Vaccines

Moderna

Scientists have developed dozens of Covid-19 vaccines at record speed.

Efficacy: Unknown

pledged to be the primary vaccine provider for the developing world.

claims that its vaccine has a 79 percent efficacy rate, though it has not provided data.

expected to release results from its late-stage clinical trial this month

is estimated to have an efficacy rate between 63 and 78 percent

made waves in August when early data showed that its Covid vaccine prompted a surprisingly robust immune response in people and monkeys.

first Covid-19 vaccine to get emergency authorization in the United States

offers terrific protection against Covid-19 and sometimes comes with mild side effects.

in Britain, India and several other countries

Sputnik V vaccine has an efficacy rate of 91.4 percent.

could have a big impact on the pace of vaccinations in the U.S. because it is given in one dose instead of two.

cheap and easily stored

though data from late-stage trials has not yet been shared publicly.

Many scientists were puzzled, however, by data showing that its efficacy may depend on the strength of the initial dose or the gap between doses.

Moderna’s does not need to be stored at ultracold temperatures, making it better suited for smaller clinics and remote areas.

No serious health problems have been linked to the shot, though some people get fatigue, fever and muscle aches.

run into big delays

being distributed in Argentina, Belarus and other countries.

final stage of testing in the U.S. in late December.

politicians will not be considered a priority group in the first phase of the rollout.

Shots were given to at least 165,714 people on Saturday

But doubts over the effectiveness of the homegrown vaccine have created a hurdle for the ambitious plan. Health experts worry that the government’s approval of the Bharat Biotech vaccine — without concrete data showing its efficacy — could amplify vaccine hesitancy. At least one state health minister has opposed its use.

“Right now, we don’t have the option to choose between the vaccines,”

In wealthy countries including the United States, Britain, Israel, Canada and Germany, millions of citizens have already been given some measure of protection by vaccines developed with revolutionary speed and quickly authorized for use.

Many experts are predicting another year of loss and hardship in places like Iran, India, Mexico and Brazil, which together account for about a quarter of the world’s COVID-19 deaths.

Norway’s experience doesn’t mean that younger, healthier people should avoid being vaccinated.

Official reports of allergic reactions have been rare as governments rush to roll out vaccines to try to contain the global pandemic.

All the reported deaths related to “elderly people with serious basic disorders,”

The first people to be immunized in many places have been older than that as countries rush to inoculate nursing-home residents at high risk from the virus.

for those with the most severe frailty, even relatively mild vaccine side effects can have serious consequences. For those who have a very short remaining life span anyway, the benefit of the vaccine may be marginal or irrelevant.

This does not mean that there is a causal link between vaccination and death.

It is a dance Republican candidates often do when they hedge their answers about whether evolution should be taught in schools. It is what makes the fight over global warming such a liability for their party, and what led last year to a widely criticized response to the Ebola scare.

the national debate is forcing the Republican Party’s 2016 presidential hopefuls to confront questions about whether it is in the public’s interest to allow parents to decide for themselves.

The debate does not break entirely along right-left lines. The movement to forgo vaccinations has been popular in more liberal and affluent communities where some parents are worried that vaccines cause autism or other disorders among children.

Howard Dean, a presidential candidate in 2004 and a former chairman of the Democratic National Committee, said there are three groups of people who object to required vaccines: “One is people who are very much scared about their kids getting autism, which is an idea that has been completely discredited. Two, is entitled people who don’t want to put any poison in their kids and view this as poison, which is ignorance more than anything else. And three, people who are antigovernment in any way.”

The issue has more political potency among conservative voters who are highly skeptical of anything required by the government.

for Republicans like Mr. Paul who appeal to the kind of libertarian conservatives who are influential in states like Iowa and New Hampshire, which hold the first two contests in the battle for the nomination, there is an appeal in framing the issue as one of individual liberty.Asked about immunizations again later on Monday, Mr. Paul was even more insistent, saying it was a question of “freedom.” He grew irritated with a CNBC host who pressed him and snapped: “The state doesn’t own your children. Parents own the children.”

Right now, even now, we've gone from half a million a day to 750,000 a day.

"If we get about 70% to 85% of the people in the country vaccinated, we likely will get to that umbrella of herd immunity,

His remarks come a day after he outlined a $1.9 trillion emergency legislative package to fund a nationwide vaccination effort and provide direct economic relief to Americans amid the coronavirus pandemic, telling Americans that "the health of our nation is at stake."

100 million vaccine shots in his initial 100 days in office.

Ohana reportedly objected to vaccinating Palestinian prisoners convicted of attacks on Israelis. He instructed only prison staff to be vaccinated for the time being, excluding all Israeli and Palestinian prisoners, Herbst says.

"Preventing life-saving medical treatment from people in prison — whether due to a sentence imposed on them by the court or due to detention before reaching a verdict — is inconsistent with our values, the values of the Jewish and democratic state,"

"The normal policy of every country is to vaccinate its own citizens. That's what they pay taxes for," Edelstein said.

Vaccines are expected to arrive in the Palestinian territories in the coming months.

Reaching hesitant families means withholding the kind of judgment that kept her ashamed, and understanding that people have legitimate concerns that need to be addressed.

Being consistent and visible within the community is important, Autar said. “It can’t be just a moment here and now type of thing – ‘When we have a surge, we’re going to come back out and galvanize all those resources.’ No, we still are in a pandemic. And we need to still remain visible within hesitant communities. And that’s hard work.”

He added: “Our approach has always been ‘we’re here to educate you about the vaccine, your options, your choices’, rather than take the approach of ‘you need to get this vaccine’.”

“They may not change their mind overnight, but by taking your time, you’re ensuring that they could change their minds,” Greene said. “But if it becomes this conflict and it’s a negative experience, you’re basically closing that door off completely.”

“There’s so much pressure for moms to do everything perfectly,” Greene said. Among middle-class mothers, for instance, there’s a message that “you can afford all these products to do better, and so you don’t need vaccines – vaccines are for poor people

The Vaccine article contains a number of important insights. First, the anti-vaccination cohort likes to move the goal posts: As scientists debunked the link between autism and mercury (once present in some childhood inoculations but now found mainly in certain flu vaccines), most activists dropped their mercury theory and point instead to aluminum or said that kids received “too many too soon.”

Second, it isn't clear whether scientists can "discredit" the movement's false claims at all: Its members are skeptical of what scientists have to say—not least because they suspect hidden connections between academia and pharmaceutical companies that manufacture the vaccines.

mere exposure to the current state of the scientific consensus will not sway hard-core opponents of vaccination. They are too vested in upholding their contrarian theories; some have consulting and speaking gigs to lose while others simply enjoy a sense of belonging to a community, no matter how kooky

attempts to influence communities that embrace pseudoscience or conspiracy theories by having independent experts or, worse, government workers join them—the much-debated antidote of “cognitive infiltration” proposed by Cass Sunstein (who now heads the Office of Information and Regulatory Affairs in the White House)—w

perhaps, it's time to accept that many of these communities aren't going to lose core members regardless of how much science or evidence is poured on them. Instead, resources should go into thwarting their growth by targeting their potential—rather than existent—members.

Given that censorship of search engines is not an appealing or even particularly viable option, what can be done to ensure that users are made aware that all the pseudoscientific advice they are likely to encounter may not be backed by science?

One is to train our browsers to flag information that may be suspicious or disputed. Thus, every time a claim like "vaccination leads to autism" appears in our browser, that sentence woul

The second—and not necessarily mutually exclusive—option is to nudge search engines to take more responsibility for their index and exercise a heavier curatorial control in presenting search results for issues like "global warming" or "vaccination." Google already has a list of search queries that send most traffic to sites that trade in pseudoscience and conspiracy theories; why not treat them differently than normal queries? Thus, whenever users are presented with search results that are likely to send them to sites run by pseudoscientists or conspiracy theorists, Google may simply display a huge red banner asking users to exercise caution and check a previously generated list of authoritative resources before making up their minds.

In more than a dozen countries Google already does something similar for users who are searching for terms like "ways to die" or "suicidal thoughts" by placing a prominent red note urging them to call the National Suicide Prevention Hotline.

The situation has caused concern in places struggling to secure enough vaccine supply, principally in Europe.

Airlines and technology companies have been working on developing technology to do so, but New York's is the first pass being made widely available to residents.

The idea is similar to mobile airline boarding passes: they can be printed or stored on smartphones, and participating businesses and venues can use a companion app to confirm patrons' health status.

rather than boost the economy and encourage vaccination, efforts like the Excelsior Pass could wind up further spread of variants. It's also still not clear that vaccinated people cannot spread the virus to people who have not been vaccinated.

Some worry that the passes might encourage fraud and increase the spread of the virus by people who claim to be vaccinated or COVID-19 negative but aren't.

Sorrentino said the study defined economic impact by the extent that a city's economy was closed -- businesses like restaurants, gyms, salons and airports that would lose business without people's physical presence.

The study took into account both the costs associated with quarantining (which requires supervision costs as well as costs due to lowered productivity) as well as social distancing (which incurs costs only due to productivity).

"But our model shows that even before we achieve herd immunity, we can relax social distancing compared to the situation prior to immunization."

The analysis looked at Seattle, beginning on December 14, 2020, when the vaccine was first being administered. Even with this limited data, the effect of vaccinations was dramatic, impacting the so-called "optimal control solution."

While the optimal interventions would vary depending on a number of factors, we always saw that a gradual relaxation of social distancing was possible after roughly 10% of the population got vaccinated," he said.

After just 20 days, the trend was becoming clear when comparing with the case in which the effects of vaccinations were not incorporated in the model.

Sorrentino emphasizes also that everyone should continue to follow the current policy and health guidelines, and that the relaxing of social distancing should adhere to these guidelines and be gradual. And of course, that guidance may change, based on the rates of spread of the virus and the variants.